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Contact Information

SHAN KHAN, DO
7601 SOUTHCREST PKWY
SOUTHAVEN, MS38671-4739
 Phone: 901-226-2800
 Fax: 901-226-2802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAN KHAN · (Male)

NPI # 1972999423
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/11/2015
Last updated 08/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 25198
  • TN License # DO0000003262
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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